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Scientific Data Documentation
Estimates Of Diabetes Burden By StateABSTRACT General Information State-Specific Estimates of Diabetes Disease Burden Epidemiology and Statistics Branch Division of Diabetes Translation Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control Atlanta, Georgia 30333 Acknowledgements This report was prepared by the following: John M. Stevenson, Scott F. Wetterhall, David R. Olson, Barbara L. Dougherty, Linda S. Geiss, Robert D. Moran, Frank DeStefano, & Frank Vinicor BACKGROUND Approximately seven million persons in the United States are known to have diabetes, and an additional five million may unknowingly have the disease. Each year more than 650,000 new cases of diabetes are identified. In terms of human suffering, persons with diabetes face not only a shortened life span but also an increased probability of incurring acute and chronic complications. In 1987, patients with diabetes spent approximately 27 million days in the hospital. A conservative estimate of the cost in 1987 attributable to diabetes is $20.4 billion. Currently, public health programs at the local, state, and federal levels are directed toward reducing the morbidity and mortality from diabetes. Health officials need to be able to measure accurately the magnitude of the diabetes disease burden in order to establish priorities, develop policy, target high-risk groups, plan programs, and evaluate the impact of the programs. Public health surveillance, the ongoing and systematic collection, analysis, and dissemination of health data, can provide these measurements. Until recently, no unified national surveillance system existed for monitoring trends in diabetes and its complications. In the past year, the Epidemiology and Statistics Branch of the Division of Diabetes Translation, Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control, established an ongoing surveillance system that will systematically compile national data on diabetes and its complications. In April 1990, the Division of Diabetes Translation published its first surveillance report(1), which covered data from 1980 through 1987. That report presents information on the prevalence and incidence of diabetes, diabetes mortality, hospitalizations, and several diabetes complications, including cardiovascular disease, lower extremity amputations, ketoacidosis, and end-stage renal disease. For the surveillance report, we relied upon data from two large ongoing population-based surveys, the National Health Interview Survey and the National Hospital Discharge Survey, to determine the prevalence of diabetes and several of its complications. Although the surveys provide information on the prevalence of diabetes and several related conditions in the United States, their design limited our analysis to the four major Bureau of the Census regions: Northeast, North Central, South, and West. At present, state-specific data can be obtained only for mortality and end-stage renal disease. We recognize the important need for state-specific data to plan and evaluate programs. The Division of Diabetes Translation has entered into cooperative agreements with three state health agencies to explore methods for developing state-based surveillance systems for diabetes. We anticipate that methods and approaches that are identified and formulated in the cooperative agreements will be useful for developing similar diabetes surveillance systems in other states. In the interim, we are providing "synthetic" state-specific estimates of the disease burden due to diabetes. To create these estimates, we have applied national rates for a particular condition of interest (e.g., hospitalizations for lower extremity amputations) to the population within a state to estimate the number of persons with the condition. These estimates were initially generated in response to requests from several coordinators of diabetes control programs for information about their respective states. Subsequently, we have produced estimates for all the states and the District of Columbia. To avoid the pitfalls of over-interpretation, users of these data should become familiar with the methods used to generate these estimates. METHODS We used the latest available data from various public access data tapes to generate a fact sheet for each state. For most of the diabetic conditions, we estimated the number of cases by multiplying the national rate for the condition times the appropriate state population. For statistics on mortality and end-stage renal disease, we used actual counts from vital statistics records and Medicare data, respectively. We estimated the number of persons known to have diabetes by multiplying national diabetes prevalence rates by the 1988 state population. State population numbers were obtained from intercensal estimates from the Bureau of the Census(2). These estimates represent the 1988 resident population (including military personnel) of the state. Diabetes prevalence rates were obtained from the 1987 National Health Interview Survey. We multiplied the age-, race-, and sex-specific rates by the state population within each age, race, and sex group, and summed counts over the appropriate groups to obtain marginal totals. For example, the number of white males aged 0 to 44 years who have diagnosed diabetes was estimated by multiplying the national diabetes prevalence rate for this group times the number of white males of this age who reside in the state. To obtain a marginal total, such as the number of persons aged 0 to 44 years who are known to have diabetes, we summed the number of diabetic persons in this age across all race-sex groups. Stable prevalence estimates were available for whites and blacks, but not for other race groups. Therefore, we assumed that the rates for these other groups were the same as those for blacks, except where noted on the fact sheets. The annual total mortality due to diabetes was obtained from 1987 state vital statistics records. We included deaths in which International Classification of Diseases, 9th Revision, (lCD-9) rubric 250 (diabetes) was listed on the death certificate as an underlying cause or a contributory cause. The diabetes-related deaths are reported by age, race, and sex. We used data from the National Hospital Discharge Survey (NHDS) to calculate rates of diabetes-related hospitalizations in U.S. noninstitutional, nonfederal hospitals(3). To determine these rates, we selected all discharges for which any of the up-to-seven listed discharge diagnoses were coded as lCD-9 rubric 250. We used estimates of the total 1987 population of the United States as the denominators in calculating general population rates. These rates were applied to each state population to estimate the number of hospital discharges for which diabetes was one of the listed diagnoses. NHDS data were also used to estimate the number of hospital discharges for cardiovascular disease among persons with diabetes. We determined the number of hospital discharges in 1987 for which major cardiovascular disease (lCD-9 390-448), ischemic heart disease (lCD-9 410- 414) or stroke (lCD-9 430-434, 436-438) was listed as the primary diagnosis and diabetes (lCD-9 250) as a secondary diagnosis. Age-specific rates of hospitalization were calculated by using, as the denominator, the estimated number of persons in the United States with diabetes, as determined from the 1987 National Health Interview Survey. These rates were applied to each state's diabetic population to estimate the number of hospital discharges. In reporting cardiovascular disease mortality among persons with diabetes, we used information from 1987 state vital statistics records. We enumerated the deaths for which major cardiovascular disease, ischemic heart disease, or stroke was listed as an underlying cause of death and diabetes was listed as a contributory cause. For diabetic ketoacidosis (DKA), hospital discharges were identified from the NHDS by using lCD-9 rubric 250.1 (diabetes with ketoacidosis). National hospital discharge rates for this condition were applied to each state's population. For mortality due to DKA, we used 1987 state vital statistics records to identify deaths for which lCD-9 250.1 was the underlying cause. Data for lower extremity amputation (LEA) were obtained from the NHDS. Diabetes-related LEAs were identified by using lCD-9 procedure code 84.1 (amputation of lower limb) and lCD-9 disease code 250 (diabetes). Traumatic amputations of the toe, foot, and leg (lCD-9 disease codes 895-897) were excluded from analysis. To estimate the number of LEAs, we multiplied the 1987 U.S. age-specific rates by state population estimates for each of the age strata and summed over all strata. To estimate the number of new cases of blindness due to diabetes, we used 1988 data from the Blindness Registry maintained by the Massachusetts State Commission for the Blind(4). Recent national data on blindness caused by diabetes are not available. For each state, we multiplied age-specific rates of blindness due to diabetes by the estimated number of persons with diabetes in each age stratum. The total number of cases of blindness was calculated by summing over all age strata. For end-stage renal disease (ESRD), we obtained 1986 data from the ESRD program management and medical information system of the Bureau of Data Management and Strategy, Health Care Financing Administration. This system maintains information on about 90% of all persons who undergo treatment for ESRD. The fact sheets present the actual number of patients in a given state who in 1986 began ESRD treatment reimbursable through Medicare financing. DIABETES STATISTICS BY STATE Alabama Number of Persons Known to Have Diabetes Race Age Sex Total 125,724 White 81,821 0-40 22,380 Male 56,462 Black 43,065 45-64 47,816 Female 69,263 Other 839 65-74 32,196 75+ 23,333 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,014 White 1,330 0-44 62 Male 796 Black 684 45-64 404 Female 1,218 Other 0 65-74 611 75+ 937 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 6,829 36,223 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 11,248 922 Ischemic Heart Disease 5,043 490 Stroke 1,519 179 Ketoacidosis 1,728 25 Number/Cases Lower Extremity Amputations 685 End-Stage Renal Disease, New Cases 127 Blindness, New Cases 264 Intercensal Population Estimates Race Age Sex Total 4,118,877 White 3,001,843 0-44 2,836,088 Male 1,984,437 Black 1,089,832 45-64 767,712 Female 2,134,440 Other 27,202 65-74 307,177 75+ 207,900 Alaska Number of Persons Known to Have Diabetes Race Age Sex Total 9,174 White 7,151 0-44 3,471 Male 5,038 Black 329 45-64 3,915 Female 4,136 Other(1) 1,695 65-74 1,242 75+ 545 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 92 White 71 0-44 5 Male 50 Black 6 45-64 27 Female 42 Other 15 65-74 27 75+ 33 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 731 3,094 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 805 45 Ischemic Heart Disease 383 29 Stroke 99 2 Ketoacidosis 232 5 Number/Cases Lower Extremity Amputations 49 End-Stage Renal Disease, New Cases 12 Blindness, New Cases 16 Intercensal Population Estimates(2) Race Age Sex Total 537,964 White 418,700 0-44 443,840 Male 280,071 Black 17,017 45-64 74,767 Female 257,893 Other 102,247 65-74 13,372 75+ 5,985 Footnotes 1 Calculated Using Prevalence Rates for U.S. Whites. 2 Taken from Alaska Dept. of Labor Estimates. Arizona Number of Persons Known to Have Diabetes Race Age Sex Total 96,239 White 85,636 0-44 19,063 Male 48,329 Black 3,481 45-64 34,777 Female 47,910 Other 7,123 65-74 26,962 75+ 15,437 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,409 White 1,270 0-44 56 Male 656 Black 47 45-64 297 Female 753 Other 92 65-74 438 75+ 618 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 5,903 31,711 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 9,911 614 Ischemic Heart Disease 4,405 378 Stroke 1,353 77 Ketoacidosis 1,485 18 Number/Cases Lower Extremity Amputations 607 End-Stage Renal Disease, New Cases 174 Blindness, New Cases 201 Intercensal Population Estimates Race Age Sex Total 3,520,352 White 3,176,969 0-44 2,433,900 Male 1,734,474 Black 107,525 45-64 636,807 Female 1,785,878 Other 235,858 65-74 284,536 75+ 165,109 Arkansas Number of Persons Known to Have Diabetes Race Age Sex Total 74,788 White 57,917 0-44 12,487 Male 35,373 Black 16,075 45-64 26,405 Female 39,415 Other 796 65-74 20,554 75+ 15,342 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,150 White 892 0-44 29 Male 453 Black 251 45-64 216 Female 697 Other 7 65-74 343 75+ 562 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 4,110 22,558 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 7,150 534 Ischemic Heart Disease 3,176 298 Stroke 978 99 Ketoacidosis 999 19 Number/Cases Lower Extremity Amputations 437 End-Stage Renal Disease, New Cases 73 Blindness, New Cases 161 Intercensal Population Estimates Race Age Sex Total 2,403,241 White 1,980,288 0-44 1,588,587 Male 1,164,880 Black 399,825 45-64 459,370 Female 1,238,361 Other 23,128 65-74 206,642 75+ 148,642 California Number of Persons Known to Have Diabetes Race Age Sex Total 763,573 White 591,010 0-44 157,151 Male 370,418 Black 73,644 45-64 302,352 Female 393,155 Other 98,919 65-74 182,158 75+ 121,912 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 15,943 White 13,552 0-44 440 Male 7,413 Black 1,653 45-64 3,181 Female 8,530 Other 738 65-74 4,754 75+ 7,568 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 45,366 233,442 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 71,092 8,863 Ischemic Heart Disease 32,130 5,304 Stroke 9,489 1,420 Ketoacidosis 11,876 176 Number/Cases Lower Extremity Amputations 4,323 End-Stage Renal Disease, New Cases 1,145 Blindness, New Cases 1,554 Intercensal Population Estimates Race Age Sex Total 28,203,631 White 23,280,839 0-44 20,011,080 Male 13,970,160 Black 2,208,497 45-64 5,099,605 Female 14,233,471 Other 2,714,295 65-74 1,841,375 75+ 1,251,571 Colorado Number of Persons Known to Have Diabetes Race Age Sex Total 77,118 White 70,969 0-44 19,488 Male 38,738 Black 3,549 45-64 29,175 Female 38,380 Other 2,600 65-74 16,998 75+ 11,458 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,234 White 1,177 0-44 39 Male 534 Black 50 45-64 214 Female 700 Other 7 65-74 348 75+ 633 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 5,083 24,935 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 7,334 572 Ischemic Heart Disease 3,336 367 Stroke 967 77 Ketoacidosis 1,414 18 Number/Cases Lower Extremity Amputations 448 End-Stage Renal Disease, New Cases 125 Blindness, New Cases 153 Intercensal Population Estimates Race Age Sex Total 3,342,414 White 3,132,046 0-44 2,491,613 Male 1,660,589 Black 124,225 45-64 542,829 Female 1,681,825 Other 86,143 65-74 180,897 75+ 127,075 Connecticut Number of Persons Known to Have Diabetes Race Age Sex Total 92,768 White 82,898 0-44 16,837 Male 45,067 Black 8,408 45-64 35,556 Female 47,701 Other 1,462 65-74 24,266 75+ 16,110 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,491 White 2,312 0-44 61 Male 1,116 Black 178 45-64 437 Female 1,375 Other 1 65-74 687 75+ 1,306 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 5,532 29,948 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 9,431 1,338 Ischemic Heart Disease 4,232 822 Stroke 1,274 180 Ketoacidosis 1,351 8 Number/Cases Lower Extremity Amputations 572 End-Stage Renal Disease, New Cases 123 Blindness, New Cases 194 Intercensal Population Estimates Race Age Sex Total 3,235,174 White 2,929,437 0-44 2,149,163 Male 1,567,693 Black 259,655 45-64 650,409 Female 1,667,481 Other 46,082 65-74 257,141 75+ 178,461 Delaware Number of Persons Known to Have Diabetes Race Age Sex Total 18,680 White 14,445 0-44 3,497 Male 8,811 Black 3,888 45-64 7,623 Female 9,868 Other 346 65-74 4,610 75+ 2,949 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 426 White 341 0-44 12 Male 197 Black 83 45-64 98 Female 229 Other 2 65-74 124 75+ 192 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,097 5,803 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,803 195 Ischemic Heart Disease 816 101 Stroke 241 27 Ketoacidosis 274 7 Number/Cases Lower Extremity Amputations 109 End-Stage Renal Disease, New Cases 29 Blindness, New Cases 38 Intercensal Population Estimates Race Age Sex Total 651,915 White 527,549 0-44 444,482 Male 310,882 Black 113,405 45-64 131,222 Female 341,033 Other 10,961 65-74 46,566 75+ 29,645 District of Columbia Number of Persons Known to Have Diabetes Race Age Sex Total 25,818 White 4,797 0-44 3,341 Male 9,941 Black 20,524 45-64 11,485 Female 15,877 Other 496 65-74 6,222 75+ 4,769 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 598 White 145 0-44 26 Male 261 Black 449 45-64 174 Female 337 Other 4 65-74 183 75+ 215 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,052 5,633 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,763 288 Ischemic Heart Disease 795 122 Stroke 237 23 Ketoacidosis 259 7 Number/Cases Lower Extremity Amputations 107 End-Stage Renal Disease, New Cases 49 Blindness, New Cases 54 Intercensal Population Estimates Race Age Sex Total 619,013 White 177,068 0-44 415,680 Male 284,611 Black 431,853 45-64 125,088 Female 334,402 Other 10,092 65-74 46,794 75+ 31,451 Florida Number of Persons Known to Have Diabetes Race Age Sex Total 420,502 White 355,880 0-44 58,145 Male 204,672 Black 59,300 45-64 151,242 Female 215,830 Other 5,322 65-74 126,321 75+ 84,794 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 8,173 White 6,999 0-44 226 Male 4,089 Black 1,162 45-64 1,491 Female 4,084 Other 12 65-74 2,484 75+ 3,972 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 22,873 133,026 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 43,637 4,321 Ischemic Heart Disease 19,242 2,704 Stroke 6,043 605 Ketoacidosis 5,078 100 Number/Cases Lower Extremity Amputations 2,659 End-Stage Renal Disease, New Cases 533 Blindness, New Cases 918 Intercensal Population Estimates Race Age Sex Total 12,297,762 White 10,429,821 0-44 7,397,281 Male 5,932,629 Black 1,710,931 45-64 2,684,729 Female 6,365,133 Other 157,010 65-74 1,319,573 75+ 896,179 Georgia Number of Persons Known to Have Diabetes Race Age Sex Total 174,777 White 114,793 0-44 36,408 Male 78,956 Black 58,325 45-64 68,823 Female 95,821 Other 1,659 65-74 41,438 75+ 28,109 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 3,176 White 2,158 0-44 121 Male 1,355 Black 1,011 45-64 767 Female 1,821 Other 7 65-74 976 75+ 1,312 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 10,071 51,079 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 15,392 1,539 Ischemic Heart Disease 6,960 856 Stroke 2,051 256 Ketoacidosis 2,693 53 Number/Cases Lower Extremity Amputations 938 End-Stage Renal Disease, New Cases 251 Blindness, New Cases 355 Intercensal Population Estimates Race Age Sex Total 6,367,942 White 4,612,473 0-44 4,613,102 Male 3,088,818 Black 1,691,875 45-64 1,104,012 Female 3,279,124 Other 63,594 65-74 396,447 75+ 254,381 Hawaii Number of Persons Known to Have Diabetes Race Age Sex Total 41,314 White 7,670 0-44 6,180 Male 18,421 Black 334 45-64 19,223 Female 22,893 Other 33,310 65-74 9,466 75+ 6,445 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 658 White 142 0-44 19 Male 331 Black 4 45-64 155 Female 327 Other 512 65-74 201 75+ 283 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,806 9,312 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 2,845 327 Ischemic Heart Disease 1,294 176 Stroke 377 56 Ketoacidosis 466 5 Number/Cases Lower Extremity Amputations 172 End-Stage Renal Disease, New Cases 74 Blindness, New Cases 84 Intercensal Population Estimates Race Age Sex Total 1,100,765 White 354,127 0-44 775,691 Male 559,618 Black 22,784 45-64 213,371 Female 541,147 Other 723,854 65-74 70,741 75+ 40,962 Idaho Number of Persons Known to Have Diabetes Race Age Sex Total 24,464 White 23,727 0-44 5,703 Male 12,765 Black 55 45-64 8,367 Female 11,698 Other 682 65-74 6,301 75+ 4,093 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 423 White 414 0-44 18 Male 189 Black 2 45-64 68 Female 234 Other 7 65-74 108 75+ 229 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,576 8,071 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 2,442 200 Ischemic Heart Disease 1,091 116 Stroke 330 37 Ketoacidosis 423 4 Number/Cases Lower Extremity Amputations 150 End-Stage Renal Disease, New Cases 27 Blindness, New Cases 50 Intercensal Population Estimates Race Age Sex Total 1,004,305 White 978,883 0-44 729,982 Male 502,213 Black 2,635 45-64 160,704 Female 502,092 Other 22,787 65-74 67,792 75+ 45,827 Illinois Number of Persons Known to Have Diabetes Race Age Sex Total 330,286 White 256,871 0-44 62,954 Male 156,111 Black 64,199 45-64 129,184 Female 174,175 Other 9,217 65-74 81,496 75+ 56,653 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 8,076 White 6,928 0-44 186 Male 3,605 Black 1,112 45-64 1,528 Female 4,471 Other 36 65-74 2,504 75+ 3,858 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 19,132 100,755 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 31,163 4,568 Ischemic Heart Disease 14,028 2,946 Stroke 4,187 602 Ketoacidosis 4,862 106 Number/Cases Lower Extremity Amputations 1,894 End-Stage Renal Disease, New Cases 456 Blindness, New Cases 682 Intercensal Population Estimates Race Age Sex Total 11,604,406 White 9,478,323 0-44 8,002,478 Male 5,634,518 Black 1,831,413 45-64 2,185,826 Female 5,969,888 Other 294,670 65-74 830,049 75+ 586,053 Indiana Number of Persons Known to Have Diabetes Race Age Sex Total 149,892 White 132,447 0-44 30,059 Male 72,730 Black 16,188 45-64 56,566 Female 77,161 Other 1,257 65-74 37,267 75+ 26,000 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 3,725 White 3,407 0-44 85 Male 1,669 Black 318 45-64 699 Female 2,056 Other 0 65-74 1,155 75+ 1,786 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 9,089 47,708 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 14,722 1,940 Ischemic Heart Disease 6,627 1,222 Stroke 1,977 295 Ketoacidosis 2,322 30 Number/Cases Lower Extremity Amputations 895 End-Stage Renal Disease, New Cases 153 Blindness, New Cases 310 Intercensal Population Estimates Race Age Sex Total 5,544,182 White 5,054,365 0-44 3,837,970 Male 2,692,192 Black 446,590 45-64 1,032,324 Female 2,851,990 Other 43,227 65-74 391,770 75+ 82,118 Iowa Number of Persons Known to Have Diabetes Race Age Sex Total 78,621 White 76,381 0-44 14,717 Male 38,883 Black 1,451 45-64 26,742 Female 39,738 Other 789 65-74 20,618 75+ 16,544 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,859 White 1,818 0-44 43 Male 790 Black 36 45-64 262 Female 1,069 Other 5 65-74 473 75+ 1,081 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 4,659 25,114 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 7,872 1,034 Ischemic Heart Disease 3,508 596 Stroke 1,072 149 Ketoacidosis 1,161 16 Number/Cases Lower Extremity Amputations 481 End-Stage Renal Disease, New Cases 98 Blindness, New Cases 168 Intercensal Population Estimates Race Age Sex Total 2,811,678 White 2,735,096 0-44 1,883,689 Male 1,370,508 Black 45,462 45-64 515,611 Female 1,441,170 Other 31,120 65-74 223,111 75+ 189,267 Kansas Number of Persons Known to Have Diabetes Race Age Sex Total 68,903 White 62,656 0-44 13,275 Male 33,819 Black 4,773 45-64 24,403 Female 35,084 Other 1,474 65-74 17,316 75+ 13,909 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,353 White 1,248 0-44 24 Male 594 Black 97 45-64 221 Female 759 Other 8 65-74 377 75+ 731 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 4,062 21,537 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 6,684 679 Ischemic Heart Disease 2,993 424 Stroke 904 109 Ketoacidosis 1,030 17 Number/Cases Lower Extremity Amputations 408 End-Stage Renal Disease, New Cases 52 Blindness, New Cases 145 Intercensal Population Estimates Race Age Sex Total 2,485,597 White 2,289,416 0-44 1,695,769 Male 1,222,165 Black 143,240 45-64 452,160 Female 1,263,432 Other 52,941 65-74 183,823 75+ 153,845 Kentucky Number of Persons Known to Have Diabetes Race Age Sex Total 101,197 White 90,019 0-44 20,250 Male 49,375 Black 10,559 45-64 37,512 Female 51,822 Other 619 65-74 25,460 75+ 17,975 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,052 White 1,831 0-44 61 Male 824 Black 219 45-64 418 Female 1,228 Other 2 65-74 589 75+ 984 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 6,129 32,229 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 9,955 973 Ischemic Heart Disease 4,475 581 Stroke 1,339 171 Ketoacidosis 1,565 23 Number/Cases Lower Extremity Amputations 606 End-Stage Renal Disease, New Cases 111 Blindness, New Cases 210 Intercensal Population Estimates Race Age Sex Total 3,737,388 White 3,445,142 0-44 2,586,985 Male 1,825,977 Black 270,993 45-64 691,038 Female 1,911,411 Other 21,253 65-74 267,337 75+ 192,028 Louisiana Number of Persons Known to Have Diabetes Race Age Sex Total 125,634 White 74,842 0-44 25,866 Male 56,691 Black 48,754 45-64 49,087 Female 68,943 Other 2,038 65-74 29,724 75+ 20,957 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,508 White 1,541 0-44 74 Male 948 Black 963 45-64 539 Female 1,560 Other 4 65-74 742 75+ 1,153 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 7,022 35,455 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 10,643 1,168 Ischemic Heart Disease 4,804 632 Stroke 1,421 181 Ketoacidosis 1,895 31 Number/Cases Lower Extremity Amputations 650 End-Stage Renal Disease, New Cases 173 Blindness, New Cases 256 Intercensal Population Estimates Race Age Sex Total 4,483,350 White 3,025,343 0-44 3,271,188 Male 2,186,940 Black 1,385,134 45-64 753,040 Female 2,296,410 Other 72,873 65-74 276,985 75+ 182,137 Maine Number of Persons Known to Have Diabetes Race Age Sex Total 32,571 White 32,149 0-44 6,303 Male 16,214 Black 94 45-64 11,585 Female 16,357 Other 328 65-74 8,478 75+ 6,205 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 883 White 879 0-44 21 Male 384 Black 1 45-64 147 Female 499 Other 3 65-74 228 75+ 487 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,993 10,679 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 3,338 473 Ischemic Heart Disease 1,494 321 Stroke 452 61 Ketoacidosis 497 5 Number/Cases Lower Extremity Amputations 203 End-Stage Renal Disease, New Cases 24 Blindness, New Cases 68 Intercensal Population Estimates Race Age Sex Total 1,196,534 White 1,181,548 0-44 807,185 Male 584,134 Black 3,565 45-64 225,725 Female 612,400 Other 11,421 65-74 92,138 75+ 71,486 Maryland Number of Persons Known to Have Diabetes Race Age Sex Total 130,680 White 89,123 0-44 25,509 Male 60,976 Black 37,515 45-64 54,832 Female 69,704 Other 4,041 65-74 30,496 75+ 19,842 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,683 White 1,975 0-44 91 Male 1,162 Black 690 45-64 571 Female 1,521 Other 18 65-74 841 75+ 1,180 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 7,514 38,823 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 11,871 1,327 Ischemic Heart Disease 5,387 657 Stroke 1,577 188 Ketoacidosis 1,942 40 Number/Cases Lower Extremity Amputations 719 End-Stage Renal Disease, New Cases 154 Blindness, New Cases 264 Intercensal Population Estimates Race Age Sex Total 4,601,068 White 3,351,163 0-44 3,232,498 Male 2,227,576 Black 1,120,301 45-64 876,551 Female 2,373,492 Other 129,604 65-74 299,915 75+ 192,104 Massachusetts Number of Persons Known to Have Diabetes Race Age Sex Total 166,511 White 153,814 0-44 30,659 Male 79,221 Black 9,186 45-64 60,602 Female 87,291 Other 3,511 65-74 43,900 75+ 31,349 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 4,331 White 4,180 0-44 88 Male 1,932 Black 140 45-64 663 Female 2,399 Other 11 65-74 1,226 75+ 2,354 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 9,923 53,670 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 16,875 2,343 Ischemic Heart Disease 7,543 1,543 Stroke 2,290 323 Ketoacidosis 2,444 31 Number/Cases Lower Extremity Amputations 1,027 End-Stage Renal Disease, New Cases 149 (1) Blindness, New Cases 370 Intercensal Population Estimates Race Age Sex Total 5,878,994 White 5,496,083 0-44 3,922,632 Male 2,793,158 Black 281,968 45-64 1,132,612 Female 3,085,836 Other 100,943 65-74 469,991 75+ 353,759 Footnote 1Reported number, not estimate Michigan Number of Persons Known to Have Diabetes Race Age Sex Total 254,762 White 204,849 0-44 50,662 Male 122,615 Black 45,879 45-64 99,093 Female 132,146 Other 4,034 65-74 63,143 75+ 41,863 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 6,301 White 5,376 0-44 191 Male 2,806 Black 898 45-64 1,272 Female 3,495 Other 27 65-74 1,924 75+ 2,914 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 15,148 79,171 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 24,365 3,437 Ischemic Heart Disease 10,982 2,176 Stroke 3,266 503 Ketoacidosis 3,888 52 Number/Cases Lower Extremity Amputations 1,481 End-Stage Renal Disease, New Cases 367 Blindness, New Cases 523 Intercensal Population Estimates Race Age Sex Total 9,247,490 White 7,834,777 0-44 6,450,620 Male 4,502,725 Black 1,273,361 45-64 1,721,315 Female 4,744,765 Other 139,352 65-74 643,259 75+ 432,296 Minnesota Number of Persons Known to Have Diabetes Race Age Sex Total 111,300 White 106,579 0-44 23,428 Male 55,989 Black 1,830 45-64 38,614 Female 55,311 Other 2,891 65-74 27,626 75+ 21,632 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,786 White 2,713 0-44 68 Male 1,249 Black 32 45-64 413 Female 1,537 Other 41 65-74 686 75+ 1,619 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 6,826 35,545 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 10,893 1,511 Ischemic Heart Disease 4,880 916 Stroke 1,470 250 Ketoacidosis 1,780 17 Number/Cases Lower Extremity Amputations 666 End-Stage Renal Disease, New Cases 146 Blindness, New Cases 232 Intercensal Population Estimates Race Age Sex Total 4,276,382 White 4,090,629 0-44 2,996,624 Male 2,105,068 Black 70,499 45-64 736,589 Female 2,171,314 Other 115,254 65-74 297,810 75+ 245,359 Mississippi Number of Persons Known to Have Diabetes Race Age Sex Total 82,256 White 45,211 0-44 14,737 Male 36,181 Black 36,446 45-64 30,589 Female 46,075 Other 600 65-74 20,701 75+ 16,230 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,596 White 919 0-44 59 Male 646 Black 669 45-64 357 Female 950 Other 8 65-74 447 75+ 733 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 4,279 22,366 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 6,872 772 Ischemic Heart Disease 3,077 357 Stroke 928 143 Ketoacidosis 1,110 26 Number/Cases Lower Extremity Amputations 420 End-Stage Renal Disease, New Cases 82 Blindness, New Cases 173 Intercensal Population Estimates Race Age Sex Total 2,647,606 White 1,653,779 0-44 1,861,393 Male 1,283,758 Black 973,876 45-64 463,583 Female 1,363,848 Other 19,951 65-74 188,487 75+ 134,143 Missouri Number of Persons Known to Have Diabetes Race Age Sex Total 150,828 White 127,601 0-44 26,937 Male 71,811 Black 21,481 45-64 55,379 Female 79,017 Other 1,745 65-74 38,654 75+ 29,858 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 3,183 White 2,777 0-44 71 Male 1,394 Black 398 45-64 561 Female 1,789 Other 8 65-74 928 75+ 1,623 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 8,614 46,383 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 14,546 1,633 Ischemic Heart Disease 6,511 1,097 Stroke 1,970 212 Ketoacidosis 2,132 32 Number/Cases Lower Extremity Amputations 885 End-Stage Renal Disease, New Cases 166 Blindness, New Cases 319 Intercensal Population Estimates Race Age Sex Total 5,138,499 White 4,522,342 0-44 3,434,562 Male 2,477,770 Black 561,434 45-64 985,607 Female 2,660,729 Other 54,723 65-74 401,544 75+ 316,786 Montana Number of Persons Known to Have Diabetes Race Age Sex Total 21,045 White 19,546 0-44 4,465 Male 10,795 Black 47 45-64 7,467 Female 10,251 Other 1,453 65-74 5,514 75+ 3,600 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 364 White 338 0-44 12 Male 160 Black 0 45-64 56 Female 204 Other 26 65-74 100 75+ 196 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,309 6,856 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 2,109 167 Ischemic Heart Disease 942 96 Stroke 286 27 Ketoacidosis 340 2 Number/Cases Lower Extremity Amputations 129 End-Stage Renal Disease, New Cases 17 Blindness, New Cases 44 Intercensal Population Estimates Race Age Sex Total 808,608 White 755,671 0-44 570,401 Male 403,774 Black 1,945 45-64 139,626 Female 404,834 Other 50,992 65-74 58,723 75+ 39,858 Nebraska Number of Persons Known to Have Diabetes Race Age Sex Total 43,594 White 41,141 0-44 8,520 Male 21,570 Black 1,783 45-64 15,059 Female 22,024 Other 670 65-74 10,913 75+ 9,102 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 988 White 940 0-44 21 Male 473 Black 42 45-64 154 Female 515 Other 6 65-74 247 75+ 566 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 2,585 13,675 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 4,237 517 Ischemic Heart Disease 1,895 322 Stroke 574 81 Ketoacidosis 659 10 Number/Cases Lower Extremity Amputations 259 End-Stage Renal Disease, New Cases 45 Blindness, New Cases 92 Intercensal Population Estimates Race Age Sex Total 1,594,014 White 1,512,766 0-44 1,089,845 Male 776,489 Black 56,789 45-64 284,347 Female 817,525 Other 24,459 65-74 117,148 75+ 102,674 Nevada Number of Persons Known to Have Diabetes Race Age Sex Total 27,148 White 23,603 0-44 5,650 Male 14,219 Black 1,819 45-64 11,319 Female 12,929 Other 1,726 65-74 6,959 75+ 3,220 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 517 White 464 0-44 27 Male 272 Black 33 45-64 124 Female 245 Other 20 65-74 188 75+ 178 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,734 9,105 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 2,814 285 Ischemic Heart Disease 1,272 137 Stroke 376 16 Ketoacidosis 439 8 Number/Cases Lower Extremity Amputations 170 End-Stage Renal Disease, New Cases 32 Blindness, New Cases 54 Intercensal Population Estimates Race Age Sex Total 1,030,609 White 908,968 0-44 719,784 Male 525,288 Black 68,570 45-64 203,645 Female 505,321 Other 53,071 65-74 72,854 75+ 34,326 New Hampshire Number of Persons Known to Have Diabetes Race Age Sex Total 27,854 White 27,419 0-44 5,919 Male 13,989 Black 130 45-64 10,142 Female 13,865 Other 305 65-74 6,961 75+ 4,831 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 681 White 678 0-44 16 Male 325 Black 3 45-64 110 Female 356 Other 0 65-74 180 75+ 375 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,763 9,203 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 2,829 331 Ischemic Heart Disease 1,272 204 Stroke 380 50 Ketoacidosis 455 5 Number/Cases Lower Extremity Amputations 172 End-Stage Renal Disease, New Cases 20 Blindness, New Cases 57 Intercensal Population Estimates Race Age Sex Total 1,086,283 White 1,071,326 0-44 758,121 Male 534,005 Black 5,140 45-64 196,819 Female 552,278 Other 9,817 65-74 75,633 75+ 55,710 New Jersey Number of Persons Known to Have Diabetes Race Age Sex Total 230,414 White 185,975 0-44 40,328 Male 109,360 Black 38,083 45-64 92,642 Female 121,054 Other 6,356 65-74 59,105 75+ 38,340 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 6,242 White 5,390 0-44 163 Male 2,789 Black 814 45-64 1,244 Female 3,453 Other 38 65-74 1,948 75+ 2,887 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 13,347 72,227 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 22,757 3,269 Ischemic Heart Disease 10,240 2,192 Stroke 3,065 424 Ketoacidosis 3,245 62 Number/Cases Lower Extremity Amputations 1,377 End-Stage Renal Disease, New Cases 341 Blindness, New Cases 478 Intercensal Population Estimates Race Age Sex Total 7,747,648 White 6,458,172 0-44 5,132,809 Male 3,721,614 Black 1,074,477 45-64 1,601,340 Female 4,026,034 Other 214,999 65-74 610,136 75+ 403,363 New Mexico Number of Persons Known to Have Diabetes Race Age Sex Total 38,505 White 32,767 0-44 8,790 Male 19,145 Black 954 45-64 14,895 Female 19,359 Other 4,784 65-74 9,128 75+ 5,692 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 549 White 461 0-44 26 Male 255 Black 18 45-64 141 Female 294 Other 70 65-74 158 75+ 224 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 2,434 12,314 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 3,704 203 Ischemic Heart Disease 1,676 89 Stroke 493 22 Ketoacidosis 653 6 Number/Cases Lower Extremity Amputations 226 End-Stage Renal Disease, New Cases 71 Blindness, New Cases 77 Intercensal Population Estimates Race Age Sex Total 1,542,349 White 1,337,223 0-44 1,120,268 Male 757,854 Black 31,093 45-64 266,971 Female 784,495 Other 174,033 65-74 94,893 75+ 60,217 New York Number of Persons Known to Have Diabetes Race Age Sex Total 537,124 White 409,356 0-44 93,619 Male 248,057 Black 106,946 45-64 215,292 Female 289,067 Other 20,822 65-74 132,875 75+ 95,337 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 11,950 White 10,111 0-44 305 Male 5,240 Black 1,731 45-64 2,434 Female 6,710 Other 108 65-74 3,492 75+ 5,719 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 30,180 161,840 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 50,696 6,362 Ischemic Heart Disease 22,837 4,530 Stroke 6,814 758 Ketoacidosis 7,436 122 Number/Cases Lower Extremity Amputations 3,070 End-Stage Renal Disease, New Cases 654 Blindness, New Cases 1,116 Intercensal Population Estimates Race Age Sex Total 17,825,658 White 14,384,120 0-44 11,903,536 Male 8,452,789 Black 2,866,060 45-64 3,588,714 Female 9,372,869 Other 575,478 65-74 1,348,197 75+ 985,211 North Carolina Number of Persons Known to Have Diabetes Race Age Sex Total 191,051 White 132,217 0-44 35,418 Male 87,454 Black 55,223 45-64 75,947 Female 103,597 Other 3,611 65-74 48,227 75+ 31,460 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 4,753 White 3,332 0-44 132 Male 2,069 Black 1,372 45-64 1,113 Female 2,684 Other 49 65-74 1,524 75+ 1,984 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 10,815 57,026 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 17,656 2,675 Ischemic Heart Disease 7,953 1,546 Stroke 2,371 440 Ketoacidosis 2,740 52 Number/Cases Lower Extremity Amputations 1,072 End-Stage Renal Disease, New Cases 222 Blindness, New Cases 394 Intercensal Population Estimates Race Age Sex Total 6,504,564 White 4,925,547 0-44 4,496,672 Male 3,156,264 Black 1,458,573 45-64 1,244,046 Female 3,348,300 Other 120,444 65-74 468,701 75+ 295,145 North Dakota Number of Persons Known to Have Diabetes Race Age Sex Total 17,464 White 16,656 0-44 3,690 Male 9,030 Black 44 45-64 5,804 Female 8,434 Other 764 65-74 4,498 75+ 3,471 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 415 White 395 0-44 12 Male 195 Black 0 45-64 53 Female 220 Other 20 65-74 94 75+ 256 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,063 5,558 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,705 203 Ischemic Heart Disease 759 128 Stroke 232 37 Ketoacidosis 278 3 Number/Causes Lower Extremity Amputations 105 End-Stage Renal Disease, New Cases 22 Blindness, New Cases 37 Intercensal Population Estimates Race Age Sex Total 668,917 White 635,815 0-44 471,480 Male 337,266 Black 3,504 45-64 110,274 Female 331,651 Other 29,598 65-74 48,291 75+ 38,872 Ohio Number of Persons Known to Have Diabetes Race Age Sex Total 305,093 White 256,268 0-44 57,632 Male 145,853 Black 45,854 45-64 118,679 Female 159,240 Other 2,970 65-74 76,919 75+ 51,864 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 8,751 White 7,739 0-44 187 Male 3,780 Black 1,005 45-64 1,748 Female 4,971 Other 7 65-74 2,684 75+ 4,132 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 18,073 96,033 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 29,890 4,692 Ischemic Heart Disease 13,458 2,954 Stroke 4,017 606 Ketoacidosis 4,525 65 Number/Cases Lower Extremity Amputations 1,813 End-Stage Renal Disease, New Cases 442 Blindness, New Cases 631 Intercensal Population Estimates Race Age Sex Total 10,799,927 White 9,531,825 0-44 7,350,564 Male 5,214,567 Black 1,172,446 45-64 2,104,021 Female 5,585,360 Other 95,656 65-74 796,243 75+ 549,099 Oklahoma Number of Persons Known to Have Diabetes Race Age Sex Total 91,717 White 74,793 0-44 17,838 Male 43,968 Black 8,260 45-64 33,543 Female 47,749 Other 8,664 65-74 22,835 75+ 17,501 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,771 White 1,476 0-44 59 Male 776 Black 165 45-64 327 Female 995 Other 130 65-74 498 75+ 887 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 5,320 27,922 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 8,608 962 Ischemic Heart Disease 3,862 601 Stroke 1,161 167 Ketoacidosis 1,367 13 Number/Cases Lower Extremity Amputations 525 End-Stage Renal Disease, New Cases 125 Blindness, New Cases 192 Intercensal Population Estimates Race Age Sex Total 3,276,864 White 2,799,905 0-44 2,274,013 Male 1,608,950 Black 236,323 45-64 588,677 Female 1,667,914 Other 240,636 65-74 233,871 75+ 180,303 Oregon Number of Persons Known to Have Diabetes Race Age Sex Total 74,359 White 69,929 0-44 14,768 Male 37,616 Black 1,275 45-64 25,476 Female 36,743 Other 3,155 65-74 20,479 75+ 13,636 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,628 White 1,568 0-44 50 Male 766 Black 39 45-64 274 Female 862 Other 21 65-74 522 75+ 782 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 4,524 24,247 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 7,564 882 Ischemic Heart Disease 3,356 550 Stroke 1,035 142 Ketoacidosis 1,146 17 Number/Cases Lower Extremity Amputations 464 End-Stage Renal Disease, New Cases 81 Blindness, New Cases 157 Intercensal Population Estimates Race Age Sex Total 2,739,872 White 2,595,486 0-44 1,888,749 Male 1,354,395 Black 41,129 45-64 479,539 Female 1,385,477 Other 103,257 65-74 219,068 75+ 152,516 Pennsylvania Number of Persons Known to Have Diabetes Race Age Sex Total 364,878 White 312,884 0-44 60,291 Male 173,048 Black 47,754 45-64 137,937 Female 191,830 Other 4,240 65-74 100,665 75+ 65,985 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 10,929 White 9,991 0-44 187 Male 4,694 Black 921 45-64 1,942 Female 6,235 Other 17 65-74 3,428 75+ 5,372 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 20,987 116,393 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 37,185 5,848 Ischemic Heart Disease 16,588 3,582 Stroke 5,067 763 Ketoacidosis 4,969 109 Number/Cases Lower Extremity Amputations 2,259 End-Stage Renal Disease, New Cases 493 Blindness, New Cases 773 Intercensal Population Estimates Race Age Sex Total 11,920,849 White 10,650,871 0-44 7,692,870 Male 5,714,680 Black 1,133,392 45-64 2,472,191 Female 6,206,169 Other 136,586 65-74 1,051,161 75+ 704,627 Rhode Island Number of Persons Known to Have Diabetes Race Age Sex Total 29,019 White 27,143 0-44 5,002 Male 13,881 Black 1,252 45-64 10,510 Female 15,138 Other 624 65-74 7,995 75+ 5,512 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 850 White 817 0-44 16 Male 352 Black 26 45-64 149 Female 498 Other 7 65-74 261 75+ 424 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 1,713 9,466 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 3,016 437 Ischemic Heart Disease 1,343 322 Stroke 412 45 Ketoacidosis 410 6 Number/Cases Lower Extremity Amputations 184 End-Stage Renal Disease, New Cases 19 Blindness, New Cases 62 Intercensal Population Estimates Race Age Sex Total 986,460 White 931,212 0-44 640,118 Male 469,525 Black 38,552 45-64 198,163 Female 516,935 Other 16,696 65-74 85,918 75+ 62,261 South Carolina Number of Persons Known to Have Diabetes Race Age Sex Total 99,989 White 61,358 0-44 19,527 Male 45,037 Black 37,868 45-64 40,046 Female 54,951 Other 763 65-74 24,939 75+ 15,477 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,949 White 1,207 0-44 64 Male 781 Black 740 45-64 461 Female 1,168 Other 2 65-74 656 75+ 768 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 5,625 29,069 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 8,874 1,019 Ischemic Heart Disease 4,001 552 Stroke 1,188 207 Ketoacidosis 1,469 29 Number/Cases Lower Extremity Amputations 540 End-Stage Renal Disease, New Cases 147 Blindness, New Cases 205 Intercensal Population Estimates Race Age Sex Total 3,466,930 White 2,384,218 0-44 2,471,854 Male 1,691,244 Black 1,053,960 45-64 626,174 Female 1,775,686 Other 28,752 65-74 233,563 75+ 135,339 South Dakota Number of Persons Known to Have Diabetes Race Age Sex Total 19,871 White 18,201 0-44 3,777 Male 9,977 Black 54 45-64 6,890 Female 9,894 Other 1,616 65-74 5,106 75+ 4,098 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 441 White 402 0-44 12 Male 184 Black 1 45-64 64 Female 257 Other 38 65-74 100 75+ 265 Diabetes-Related Hospitalization per Year Primary Dx Any Listed Dx Total 1,163 6,209 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,934 214 Ischemic Heart Disease 863 128 Stroke 263 31 Ketoacidosis 294 8 Number/Cases Lower Extremity Amputations 118 End-Stage Renal Disease, New Cases 22 Blindness, New Cases 42 Intercensal Population Estimates Race Age Sex Total 709,792 White 648,510 0-44 482,084 Male 350,499 Black 2,867 45-64 127,887 Female 359,293 Other 58,415 65-74 54,247 75+ 45,574 Tennessee Number of Persons Known to Have Diabetes Race Age Sex Total 141,648 White 110,082 0-44 26,343 Male 66,282 Black 30,562 45-64 54,010 Female 75,367 Other 1,004 65-74 35,907 75+ 25,389 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,833 White 2,265 0-44 106 Male 1,159 Black 566 45-64 549 Female 1,674 Other 2 65-74 866 75+ 1,312 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 8,149 43,231 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 13,435 1,467 Ischemic Heart Disease 6,038 825 Stroke 1,809 223 Ketoacidosis 2,052 33 Number/Cases Lower Extremity Amputations 817 End-Stage Renal Disease, New Cases 136 Blindness, New Cases 295 Intercensal Population Estimates Race Age Sex Total 4,898,270 White 4,067,602 0-44 3,351,757 Male 2,375,979 Black 796,717 45-64 933,645 Female 2,522,291 Other 33,951 65-74 361,561 75+ 251,307 Texas Number of Persons Known to Have Diabetes Race Age Sex Total 426,643 White 346,974 0-44 98,558 Male 207,177 Black 69,929 45-64 163,157 Female 219,466 Other 9,741 65-74 96,665 75+ 68,264 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 7,121 White 6,068 0-44 243 Male 3,115 Black 1,026 45-64 1,589 Female 4,006 Other 27 65-74 2,080 75+ 3,209 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 26,442 131,733 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 39,194 3,465 Ischemic Heart Disease 17,779 1,898 Stroke 5,194 550 Ketoacidosis 7,221 108 Number/Cases Lower Extremity Amputations 2,391 End-Stage Renal Disease, New Cases 616 Blindness, New Cases 858 Intercensal Population Estimates Race Age Sex Total 17,106,470 White 14,718,481 0-44 12,564,234 Male 8,441,694 Black 2,014,704 45-64 2,860,837 Female 8,664,776 Other 373,285 65-74 986,243 75+ 695,156 Utah Number of Persons Known to Have Diabetes Race Age Sex Total 35,845 White 34,173 0-44 10,424 Male 18,397 Black 291 45-64 12,287 Female 17,449 Other 1,381 65-74 7,946 75+ 5,188 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 617 White 608 0-44 27 Male 272 Black 4 45-64 112 Female 345 Other 5 65-74 159 75+ 319 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 2,473 11,707 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 3,339 278 Ischemic Heart Disease 1,509 151 Stroke 442 56 Ketoacidosis 727 7 Number/Cases Lower Extremity Amputations 207 End-Stage Renal Disease, New Cases 59 Blindness, New Cases 71 Intercensal Population Estimates Race Age Sex Total 1,711,116 White 1,642,958 0-44 1,333,992 Male 851,071 Black 12,272 45-64 234,001 Female 860,045 Other 55,886 65-74 85,169 75+ 57,954 Vermont Number of Persons Known to Have Diabetes Race Age Sex Total 13,983 White 13,856 0-44 3,054 Male 7,002 Black 40 45-64 4,833 Female 6,981 Other 87 65-74 3,498 75+ 2,597 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 403 White 401 0-44 8 Male 198 Black 1 45-64 74 Female 205 Other 1 65-74 112 75+ 209 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 881 4,565 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,394 219 Ischemic Heart Disease 625 115 Stroke 188 24 Ketoacidosis 231 2 Number/Cases Lower Extremity Amputations 85 End-Stage Renal Disease, New Cases 13 Blindness, New Cases 29 Intercensal Population Estimates Race Age Sex Total 553,641 White 548,931 0-44 391,258 Male 270,845 Black 1,563 45-64 94,368 Female 282,796 Other 3,147 65-74 38,031 75+ 29,984 Virginia Number of Persons Known to Have Diabetes Race Age Sex Total 164,907 White 117,126 0-44 33,541 Male 77,657 Black 43,808 45-64 66,790 Female 87,250 Other 3,974 65-74 39,154 75+ 25,422 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 3,064 White 2,173 0-44 94 Male 1,305 Black 884 45-64 705 Female 1,759 Other 7 65-74 958 75+ 1,307 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 9,644 49,433 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 15,022 1,688 Ischemic Heart Disease 6,807 992 Stroke 1,998 227 Ketoacidosis 2,529 29 Number/Cases Lower Extremity Amputations 912 End-Stage Renal Disease, New Cases 195 Blindness, New Cases 334 Intercensal Population Estimates Race Age Sex Total 5,986,823 White 4,701,835 0-44 4,263,923 Male 2,942,884 Black 1,135,693 45-64 1,096,400 Female 3,043,939 Other 149,295 65-74 382,452 75+ 244,048 Washington Number of Persons Known to Have Diabetes Race Age Sex Total 119,919 White 107,520 0-44 25,398 Male 60,507 Black 3,681 45-64 43,761 Female 59,412 Other 8,718 65-74 30,824 75+ 19,936 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 2,234 White 2,099 0-44 68 Male 1,029 Black 72 45-64 412 Female 1,205 Other 63 65-74 669 75+ 1,085 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 7,408 38,641 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 11,855 1,111 Ischemic Heart Disease 5,307 620 Stroke 1,602 167 Ketoacidosis 1,928 29 Number/Cases Lower Extremity Amputations 725 End-Stage Renal Disease, New Cases 103 Blindness, New Cases 247 Intercensal Population Estimates Race Age Sex Total 4,587,417 White 4,184,488 0-44 3,243,953 Male 2,288,304 Black 130,701 45-64 797,814 Female 2,299,113 Other 272,228 65-74 325,499 75+ 220,151 West Virginia Number of Persons Known to Have Diabetes Race Age Sex Total 53,024 White 49,688 0-44 9,861 Male 25,978 Black 3,105 45-64 19,156 Female 27,046 Other 231 65-74 14,352 75+ 9,654 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 1,610 White 1,525 0-44 28 Male 642 Black 85 45-64 337 Female 968 Other 0 65-74 498 75+ 747 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 3,202 17,358 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 5,465 853 Ischemic Heart Disease 2,440 557 Stroke 743 101 Ketoacidosis 787 21 Number/Cases Lower Extremity Amputations 333 End-Stage Renal Disease, New Cases 83 Blindness, New Cases 112 Intercensal Population Estimates Race Age Sex Total 1,884,729 White 1,813,608 0-44 1,261,673 Male 917,845 Black 63,297 45-64 364,342 Female 966,884 Other 7,824 65-74 153,073 75+ 105,641 Wisconsin Number of Persons Known to Have Diabetes Race Age Sex Total 130,634 White 122,588 0-44 25,849 Male 65,273 Black 5,765 45-64 46,346 Female 65,360 Other 2,281 65-74 33,657 75+ 24,781 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 3,472 White 3,312 0-44 74 Male 1,565 Black 125 45-64 536 Female 1,907 Other 35 65-74 934 75+ 1,928 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 7,899 41,940 Diabetes-Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 13,023 1,929 Ischemic Heart Disease 5,822 1,270 Stroke 1,765 292 Ketoacidosis 2,005 37 Number/Cases Lower Extremity Amputations 795 End-Stage Renal Disease, New Cases 157 Blindness, New Cases 274 Intercensal Population Estimates Race Age Sex Total 4,814,000 White 4,523,651 0-44 3,302,535 Male 2,367,633 Black 210,812 45-64 871,682 Female 2,446,367 Other 79,537 65-74 361,289 75+ + Total 10,708 White 10,279 0-44 2,969 Male 5,666 Black 107 45-64 3,793 Female 5,042 Other 322 65-74 2,370 75+ 1,576 Annual Mort. Due to Diabetes as Underlying or Contributory Cause Race Age Sex Total 158 White 154 0-44 8 Male 77 Black 0 45-64 25 Female 81 Other 4 65-74 45 75+ 80 Diabetes-Related Hospitalizations per Year Primary Dx Any Listed Dx Total 728 3,495 Diabetes Related Conditions per Year Hospitalizations Mortality Major Cardiovascular Disease 1,009 62 Ischemic Heart Disease 457 37 Stroke 134 11 Ketoacidosis 210 7 Number/Cases Lower Extremity Amputations 62 End-Stage Renal Disease, New Cases 6 Blindness, New Cases 21 Intercensal Population Estimates Race Age Sex Total 494,382 White 478,395 0-44 379,165 Male 255,899 Black 3,842 45-64 72,019 Female 238,483 Other 12,145 65-74 25,504 75+ 17,694 REFERENCES 1. Centers for Disease control. Diabetes surveillance, 1980-1987. Atlanta: centers for Disease control, 1990. 2. Irwin R. lntercensal estimates of the population by age, sex, race, 1980-1988. Alexandria, Virginia: Demo-Detail, 1989. 3. National center for Health Statistics, Hospital Care Statistics Branch. 1987 Summary: National Hospital Discharge Survey. Hyattsville, Maryland: National Center for Health Statistics, Public Health Service, 1988; DHHS publication no. (PHS) 88-1250. (Vital and Health Statistics; series no. 159). 4. Geiss LS, Bishop R, Gilson MA, Koumjian LL, Aronson NE, Harrigan B. Incidence of blindness caused by diabetic retinopathy: Massachusetts, 1979-1988. Diabetes 1990;39(suppl 1):40a.